Although a variety of alloplastic materials are available and have been used for nasal augmentation, silicone implant has been chosen in Asian rhinoplasty as alloplastic implant most frequently because of its nontoxicity, chemical stability, nonimmunogenicity, simplicity of use, excellent biocompatibility, and comparatively low product price. When the patient’s nasal tip skin is thin and/or the columellar portion of the implant is too pronounced, application of L-shaped implant to nasal augmentation may lead to unnatural look and, in some cases, serious complication of extrusion. To overcome this obstacle, the author developed a simple technique of using the orbital fat pad instead of the auricular cartilage as a cushion between the silicone implant and the overlying nasal tip skin. Additionally, the orbital fat graft can be applied to augmentation of a deep radix, camouflage of minor contour irregularities, and smoothness of the dorsal contour when in combination with silicone implant. The author describes the technique.
Nasal Dorsum Alloplastic Material Auricular Cartilage Lower Lateral Cartilage Orbital Septum
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